1/19 Toby's AMPS=404+5=226+8=170 PMPS=178+2=247+10.5=209

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Peg and Toby

Peg and Toby

Member Since 2014
We started the R insulin last night .25 units with Julie. It brought him down some but may need a larger dose where he is such a high dose cat. Went up to 14.5 units of levermir this morning. Hope he doesn't keep going up to the point where I can't afford his insulin. Guess we'll cross that bridge then. I read in a post that acro cats have pot bellies and are always hungry. Toby is both. So Could be acro. The 2 Vets. I asked about his belly said that was the way he was built. He has had the belly for 5 or 6 years. He also
has inflammatory pancreatitis so I thought he may have just had fluid in his belly. The good thing is that it doesn't seem to bother Toby. Wish us luck on the dose increase. Take care, Peg and Toby
 
Peg --

I doubt that the pot belly is due to fluid. That would be a very serious health issue. Fluid that's collecting in places where it shouldn't be collecting is not a good thing. I also suspect that since you've brought this to a vet's attention and they've checked out his belly that it's not fluid. (Fluid collecting would feel and sound different on examination.)

Good luck with the increase!
 
Hi Peg, good luck with the dose increase. I'm interested that you are doing the R insulin, it's something I might consider so I will watch how you get on with it. By the way my acrokitty Crystal has a pot belly and is always hungry, DX in November last year.
Suki and Crystal
 
Wow, Peg, he's really coming down today. Combination of things I suspect. But I remember how excited I was to see blue numbers at first. (And how nervous I was to shoot blue the first time.)

Polly had a "wide body" appearance. Really football shaped, tight, though. Not at all loose skin. She'd had that a long time before the FD diagnosis. She had the stridor, too, although I had no clue what any of that meant. She still gets a little "moist" and kind of gurgled when she purrs.

Her shape has changed, more flabby than football now. But her weight has remained a constant 10-11 pounds throughout.

Gotta love our challenging kitties!

Marilyn and Polly
 
We didn't have to give the R tonight . Toby came down pretty good with his new dose . He will probably bounce in the morning. Will wait and see. Julie if he is high in the morning would you give the .25 R? Or would you just let it go where we have started a new dose? Peg and Toby
 
Do you mean this morning? Would I have used R along with a dose increase? I didn't use it much that way - but I"m thinking that Sandy would be a good one to answer that question. She used R with shots and no doubt that was along with some dose increases too.

I liked using R best to prevent a rise so that the next dose of Lantus onset with a lower BG range so it could work better. I did use it some at the preshot time, but i am less comfortable guiding with that, so will defer to Sandy on it. I'll let her know that you'd like an opinion on it.

I don't like to tweak a bunch of factors at once - so for me - starting a new pen and increasing a dose and using R at the same time would be too many factors. I wouldn't have used the R this morning.

nice to see him in blue today! woot!

for what it's worth, i think Toby looks like an acrocat, but i'd guess he may also havea low level of iaa in the mix.
 
Nice to see that blue PM start tonight. Paws crossed he'll get back there after onset. I've noticed that more Lev users will use R around preshot time, because often the Lev nadir isn't until 4 or more hours later after the R has worn off. Toby seems to onset a bit earlier than that.

Neko has always loved her food and been a big girl. But she didn't start getting a pot shape until last year, a couple of years after diagnosis. And she's a lot less crazy for food now than when she was in higher numbers all the time. I can actually feed her a bit of food on my fingers without getting them bitten. :rolleyes: For what it's worth, Cushings kitties also get a bit of pot belly, but they usually have thin skin/hair loss or often fragile skin. Jeanne posted a pic of her Cushing's kitty Nuggie on the 16th post of this thread. Cushings is a lot less common than acromegaly. Whatever is causing Toby's need for higher doses, you've got people here who have been there too. :bighug:
 
I meant tomorrow morning if I was getting high numbers. Julie you would use it like we did before 2 to 4 hrs. before PS to keep the PS down? I probably wouldn't try it for a couple days because he usually goes down with the new dose at first. Looked at the picture of the Cushings cat. Toby's belly looks more like a cow belly. He's got a small butt and shoulders
and a pot belly like a cow. Doesn't seem to have any problems with mouth or breathing.It's nice to have the support of others. Take care Peg and Toby
 
The important thing with the timing of the R is to be aware of coinciding nadirs. I would only use it at the beginning of a bounce, not later. You wouldn't want to increase the momentum of a bounce clearing. That's part of why I liked to use it as I saw numbers begin to climb - no danger of causing a plummet in that case. You can use it after the L nadir of a cycle.

I forgot to send Sandy a message - I'll do it now. Dyana also used R at the same time as shooting L. I think Marje uses it as the cycle begins to rise, post-nadir as well.
 
I do use it at the beginning of the cycle if the numbers are rising. The thing about lev is if you use it then, if he comes down, it will be just in time for him to onset. So be aware of that.

What I usually find with Gracie is if she is starting a bounce at shot time and I give the R, it might move her down a little but by +4, the R is gone and main,y what it did was keep her from going up. She has fooled me a couple times and the R was enough to kick back the hormones and she just kept coming down.
 
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